Psychiatry International

The protection and promotion of the human rights of individuals with mental disorders is a critical global priority, and initiatives such as the WHO QualityRights program aim to strengthen rights-based mental health care. We aimed to investigate the impact of the QualityRights core training on promoting knowledge and practices among healthcare professionals regarding the human rights of individuals with mental disorders, and to assess whether this training can reduce the stigma associated with mental disorders among these professionals. A quasiexperimental pre–post study was conducted with 26 primary healthcare professionals. Of these, 14 provided complete paired data, enabling direct comparison before and after the intervention. Participants completed standardized questionnaires assessing attitudes toward people with mental health conditions and psychosocial disabilities. Data were analyzed using paired statistical tests for pre–post comparisons, followed by multiple linear regression to examine factors associated with changes in scores. The training produced meaningful improvements in several items related to autonomy, legal capacity, coercion, and rights-based practices. Higher educational level was associated with greater attitudinal change. The WHO QualityRights training positively influenced healthcare professionals’ attitudes toward human rights in mental health. Future research should include larger samples and long-term follow-up to strengthen the evidence base and evaluate the sustainability of these changes across diverse care settings.

Background: The master’s thesis defense requires students to demonstrate research maturity, a high-stakes phase often causing significant stress. Understanding student challenges and the process of emotional regulation is crucial to improving pedagogical support, promoting academic well-being, and reducing the associated anxiety. Aim: To explore master’s nursing students’ experiences of the interplay between mental well-being and emotion regulation, during their thesis defense preparation. Methods: A qualitative study, conducted in accordance with COREQ guidelines, explored the perceptions of 29 master’s nursing students (average age of 35.62 years) in Portugal. Data was collected through four face-to-face focus groups, each comprising six to eight students, between October and November 2024, and was analyzed using Braun and Clarke’s systematic thematic analysis. Results: We found three main themes: (i) the pervasive nature of performance anxiety, characterized by significant fear of judgment and cognitive blocks; (ii) preparedness as a central strategy for fostering mental well-being, which included emotional regulation strategies such as researching the jury and practice sessions to manage uncertainty; and (iii) institutional support as a key mediator of well-being, which highlighted a demand for clearer information and formal training in oral communication skills to mitigate anxiety. Conclusions: The findings suggest that relying solely on students’ informal emotional regulation strategies creates vulnerability. To reduce defense-related anxiety and enhance mental well-being, structured institutional support, including clear guidelines, simulated rehearsals, and communication training focused on emotional regulation, is essential to transform the defense process into an opportunity for professional growth and academic well-being.

In white-collar workplaces, individuals with autism spectrum disorder (ASD) traits may experience psychological strain and reduced productivity. This study examined structural relationships among ASD traits, social camouflaging, psychological distress, and work functioning impairment, with a focus on gender differences using a secondary analysis of data from an online survey of 543 Japanese white-collar workers (284 men, 259 women). Validated instruments were used to assess ASD traits, camouflaging, psychological distress, and work functioning impairment. Multi-group structural equation modeling by gender was applied using a NIOSH-inspired model. Men scored higher on the Imagination subscale of ASD traits, whereas women scored higher on Attention Switching and Assimilation. ASD traits were indirectly associated with work impairment through psychological distress, while the direct path between ASD traits and work impairment became negative when distress was controlled, indicating a statistical suppression pattern that was more pronounced among women. Assimilation was significantly associated with psychological distress in women but not in men, although the gender difference was at the trend level. The findings indicate a cross-sectional, context-dependent association between ASD traits and work functioning and highlight the importance of considering both gender and workplace context in non-clinical working populations.